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HomeMy WebLinkAbout20171250 Ver 2_401 Application_20180426Action History (UTC-05:00) Eastern Time (US & Canada) �brrrit by Anonymous User 4/25/2018 3:26:45 PM (Start Event) Accept by Carpenter,Kristi 4/26/2018 2:32:11 PM (DOT Initial Review) . The task was assigned to Carpenter,Kristi. The due date is: April 30, 2018 5:00 PM 4/25/2018 3:28 PM �� � �ivislan af Water Resour�es Pre-Construction Notification (PCN) Form For Nationwide Permits and Regional General Permits (along with corresponding Water Quality Certifications) January 31, 2018 Ver 2.3 * Please note: fields marked with a red asterisk beloware required. You will not be able to submit the form until all mandatory questions are ans�red. Also, if at any point you wish to print a copy of the E-PCN, all you need to do is right-click on the document and you can print a copy of the form. Below is a link to the online help file. https://edocs.deq. nc.gov/WaterResources/0/edoc/624704/PCN%20Help%20File%202018-1-30.pdf A. Processing Information County (or Counties) where the project is located:* Union Is this project a public transportation project?* C Yes l' No lhis is any publicly funded by rrunicipal,state or federal funds road, rail, airport transportation project. Is this a NCDOT Project?* f• Yes r No (NCDOT only) T.I.P. or state project number: P-5704 WBS # (for �ICDOT use only) 1a. Type(s) of approval sought from the Corps:* I7 Section 404 Permit (wetlands, streams and waters, Clean Water Act) I-' Section 10 Permit (navigable waters, tidal waters, Rivers and Harbors Act) 1b. What type(s) of permit(s) do you wish to seek authorization?* fJ Nationwide Permit (NWP) r Regional General Permit (RGP) r Standard (IP) This form may be Corps to initiate the standard/individual permit process. Please contact your Corps representative for submittal of standard permits. All required items that are not provided in the E-PCN and be added to the miscellaneous upload located at the bottom of this form. Nationwide Permit (NWP) Number: Nationwide Permit (NWP) Number: Nationwide Permit (NWP) Number 14 - Linear transportation 23 - Categorical Exclusions 33 - Temporary Construction NWP Number Other: List all MN nurrbers you are applying for not on the drop dow n list. 1c. Type(s) of approval sought from the DWR:* check all that apply r% 401 Water Quality Certification - Regular r 401 Water Quality Certification - Express r Non-404 Jurisdictional General Permit r Riparian Buffer Authorization r Individual Permit * 1d. Is this notification solelyfor the record because written approval is not required? For the record onlyfor DWR 401 Certification: f Yes C' No For the record onlyfor Corps Permit: C' Yes f' No 1e. Is payment into a mitigation bank or in-lieu fee program proposed for mitigation of impacts? IF so, attach the acceptance letter from rritigation bank a- in-lieu fee program C Yes l" No Acceptance Letter Attachment C7ick the upload button or drag and drop files here to attach docurrent P-5704 - STR - RW - YD 05 Revised April 16 2018.pdf 63.54KB F1LE lYFE MJST BE FDF 1f. Is the project located in any of NC's twenty coastal counties?'� f Yes �' No 1h. Is the project located in a designated trout watershed?* f Yes r No Link to trout information: http://wvwv.saw.usace.army.mil/Missions/Regulatory-Permit-Program/Agency-Coordination/Trout.aspx B. Applicant Information 1a. Who is the Primary Contact? * NCDOT - James Bridge, Jr., PE, CPM 1b. PrimaryContact Email:* jfbridges@ncdot.gov 1c. PrimaryContact Phone:� (xxx)xxx-xxxx (919)707-4716 1d. Who is applying for the permit? fJ Owner r Applicant (other than owner) r Agent/Consultant (Check all that apply) 2. Owner I nformation 2a. Name(s) on recorded deed: 2b. Deed book and page no.: 2c. Responsible party: (for Corporations) 2d. Address Street Address Address Line 2 �� Fbstal / Zip Code 2e. Telephone Number: State / Rovince / FZegion Caurdry (xxx)xxx-xxxx 2f. Fax Number: (xxx)xxx-xxxx 2g. Email Address:* jfbridges@ncdot.gov C. Project Information and Prior Project History 1. Project Information 1a. Name of project:* Stouts Siding Extension 1b. Subdivision name: (if appropriate) 1c. Nearest municipality/town:* Indian Trail 1d. Driving directions* IF it is a new project and can not easily be found in a GPS rrapping system Rease provide directions. Directions to the north�st eMent of the project: https://wvwv.google. com/maps/dir//First+Quality+Embroidery,+110+1nd ian+Trail+Rd,+Indian+TraiI,+NC+28079/@35.0775707,- 80.6680107.16.51 z/data=!4m8!4m7! 1 m0! 1 m5! 1 m1 ! 1 sOx885424fce3463b3f:OxF1 f71 f96d04216d4! 2m2! 1 d-80.6680257! 2d35.0775473 2. Project Identification 2a. Propertyldentification Number: (tax RN or parcel ID) 2b. Propertysize: (in acres) 93.6 2c. Project Address Street Address Address Line 2 aty Fbstal / Zip Code State / Rovince / F�gion Cour�try 2d. Site coordinates in decimal degrees Please collect site coordinates in decimal degrees. Use between 4-6 digits (unless you are using a survey-grade GPS device) after the decimal place as appropriate, based on howthe location was determined. (For example, most mobile phones with GPS provide locational precision in decimal degrees to map coordinates to 5 or 6 digits after the decimal place.) Latitude:* Longitude:* 35.077595 -80.668026 ex:34208504 -77.796371 3. Surface Waters 3a. Name of the nearest body of water to proposed project:* South Fork Crooked Creek 3b. Water Resources Classification of nearest receiving water:* C Surface Water Lookup 3c. What river basin(s) is your project located in?* Yadkin-PeeDee RiverBasin Lookup 4. Project Description 4a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this application:* The project study area is comprised of mostly maintained roadway with hardwood forest along the stream banks and nearby agricultural fields, residences, and businesses. There are six perennial streams within the project study area and sixjurisdictional wetlands. There is also one pond. 4b. Attach an 8 7/2 X 11 excerpt from the most recent version of the USGS topographic map indicating the location of the project site. (for DWR) Qick the upload button or drag and drop files here to attach docurrent P-5704 Topographic Map.pdf 686.63KB Fle type rrust be pdF 4c. Attach an 8 1/2 X 11 excerpt from the most recent version of the published County NRCS Soil Survey map depicting the project site. (for DWR) aick the upload button or drag and drop files here to attach docurrem P-5704 USDA-NRCS Soils Map.pdf Fle type rrust be pdF 4d. List the total estimated acreage of all existing wetlands on the property: 0.5 4e. List the total estimated linear feet of all existing streams on the property: (interrrittent and perennial) 1548 371.69KB 4f. Explain the purpose of the proposed project:* To extend an existing rail siding along the CSX SF-line from west of the SR 1008 (Indian Trial Road) crossing to east of the SR 1378 (Hayes Road) crossing in the Town of Indian Trial 4g. Describe the overall project in detail, including indirect imapacts and the type of equipment to be used:* Train traffic will remain open during construction. Work adjacent to the track will be protected by current CSX Safety and Roadway Worker Protection rules. A brief closure of Wesley Chapel-Stouts Road is anticipated, and a roadway detour will be coordinated with NCDOT Division 10 staff during the design phase of the project. Erosion and sedimentation control measures will be installed. Water will be diverted around the construction area. Water will gravity flowthrough a 24" pipe around the work area during construction by installed impervious dikes upstream and downstream of the e�asting bridge. Special stilling basins will be utilized on an as needed basis to pump water trapped between the impervious dikes if a storm event overtops the dikes. Equipment to be used includes a track hoe, dump truck, paving equipment, pumps, and various hand tools, possibly a crane to move construction material such as reinforced bars of steel, and concrete buckets to place concrete. 4h. Please upload project drawings for the proposed project. aick the upload button or drag and drop files here to attach docurrem P5704 Permit Drawings_2018.04.06.pdf Fle type rrust be pdf 5. Jurisdictional Determinations 13.8MB 5a. Have the wetlands or streams been delineated on the property or proposed impact areas?* C•' Yes C' No �' Unknown Comme nts: 5b. If the Corps made a jurisdictional determination, what type of determination was made?* f•' Preliminary �' Approved C' Unknown f' f�UA Corps AID Number: 6carrple: SAV�2017-99999 5c. If 5a is yes, who delineated the jurisdictional areas? Name (if known): Agency/Consultant Company: Othe r: Chris Sheats, PWS Three Oaks Engineering 5d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation. April 25, 2017, SAW-2016-00248 5d1. Jurisdictional determination upload C7ick the upload button or drag and drop files here to attach docurrent 2017 4 25 SAW-2016-00248 P5704 JD .pdf 2.2MB Fle type rrust be FDF 6. Project History 6a. Have permits or certifications been requested or obtained for this project (including all prior phases) in the past? * C Yes C' No �' Unknown 6b. If yes, please give the DWR Certification number or the Corps Action ID (exp. SAW-0000-00000). NCDWR Project No. 20171250v.1 Project History Upload Click the upload button or drag and drop files here to attach docurr�nt Stouts Siding Extension Project (P-5704) 401 Permit.pdf 1.16MB Fle type rrust be FDF 7. Future Project Plans 7a. Is this a phased project?'� f Yes r No Are any other NWP(s), regional general permit(s), or individual permits(s) used, or intended to be used, to authorize any part of the proposed project or related activity? This includes other separate and distant crossing for linear projects that require Department of the Army authorization but don't require pre-construction notification. D. Proposed Impacts Inventory 1. Impacts Summary 1a. Where are the impacts associated with your project? (check all that apply): rJ Wetlands rJ Streams-tributaries r Buffers r Open Waters r Pond Construction 2. Wetland Impacts If there are wetland impacts proposed on the site, then complete this question for each wetland area impacted. 2a. Site #- Reason for impact* 2b. Impact type * 2c. Type of wetland* 2d. Wetland name *Ze. 2f. Type of 2g. Impact Forested* Jurisdicition* area* W1 - Fill, Mechanized P Non-Tidal Freshwater WG No Corps 0.090 Clea�ing F2rrranent (� or Marsh (404, 10) or D✓VR(401, (acres) i N�p label (e.g. F�ad Qossing 1- Qalvert, Terrporary (� other) dewatering, etc) W3 - Fill N�p label (e.g. F3�ad C7ossing 1- Qalvert, dewatering, etc) W4 - Fill N�p label (e.g. f3�ad Qossing 1- Qalvert, dewatering, etc) P F2rrranent (� or Terrporary (� P F�rrranent (F) or Terrporary (� Bottomland Hardwood WD Forest Headwater Forest WE & WF Yes Corps 0.070 (404, 10) or GNR(401, (acres) other) Yes Corps 0.030 (404, 10) or GNR(401, (acres) other) 2g. Total Temporary Wetland Impact 0.000 2g. Total Permanent Wetland Impact 0.190 2g. Total Wetland Impact 0.190 2h. Comments: Impacts to wetlands are due to fill slope and accessing fill slope. There will be 0.19 acre of permanent fill in wetlands, of wtiich 0.05 acre will be due to mechanized clearing for accessing of construction equipment. 3. Stream Impacts ff there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this question for all stream sites impacted. 3a. Reason for impact*3b.lmpact 3c. Type of impact*3d. Stream name * 3e. Stream 3f. Type of type * Type * Jurisdiction * g� S2 - Pipe extension P Culvert South Fork Crooked Perennial Both fv�p label (e.g. Road Qossing F2rrranent (Fj or C�e e k F2rennial (� or 1) Terrporary (lj imerrcittent (IfVn g2 S2 - Pipe extension P Stabilization South Fork Crooked Perennial Both N�p label (e.g. Fd�ad CYossing F2rrranem (Fj or Cre e k F2rennial (� or 1) Terrporary (� interrrittent (IIVT) S3 S2 - Pipe extension T Stabilization N�p label (e.g. f3�ad C7ossing F2rrranem (P� or 1) Terrporary (� S4 S2 - Overflow P Stabilization c h an n e I F2rrranent (Fj or Nbp label (e.g. Fd�ad Q-ossing Terrporary (lj 1) S5 S2 - Overflow T Stabilization c h an n e I r�rrrar,ern (Fj or N�p label (e.g. Fd�ad CYossing Terrporary (� 1) S6 S3 - Pipe extension P Culvert fvbp label (e.g. Fd�ad Qossing F2rrranem (Fj or 1) Terrporary (� g7 S3 - Pipe extension P Stabilization N�p label (e.g. fZ�ad Q-ossing F�rrranent (Fj or 1) Terrporary (� gg S3 - Pipe extension T Stabilization N�p label (e.g. Fd�ad Qossing F2rrranent (� or 1) Terrporary (lj gg S5 - Pipe extension P Culvert fv�p label (e.g. Finad Qossing F2rrranent (� or 1) Terrporary (� S10 S5 - Pipe extension T Stabilization N�p label (e.g. f3�ad Qossing F2rrranem (P� or 1) Terrporary (� South Fork Crooked Perennial Both Creek F�rennial (� or interrritterd (If� UT to South Fork Intermittent Both Crooked Creek (SD) �renniai (�) or interrrittent (IfVn UT to South Fork Intermittent Both Crooked Creek (SD) F2rennial (Fffl) or interrrittent (IfVn UT to South Fork Crooked Creek (SC) UT to South Fork Crooked Creek (SC) UT to South Fork Crooked Creek (SC) UT to South Fork Crooked Creek (SE) T to South Fork Crooked Creek (SE) Perennial Both F�rennial (FS2) or interrrittent (IfVn Perennial Both F2rennial (Fff2) or interrrittent (IfV� Perennial Both F2rennial (F82) or interrrittent (If� Perennial Both F2rennial (� or interrritterd (IMj Perennial Both F�rennial (� or interrrittent (IIVn �` All Perennial or Intermittent streams must be verified by DWR or delegated local government. 3i. Total jurisdictional ditch impact in square feet: 3g. Stream 3h. Impact sqfe� width * length * 10 18 1 Average (linearfeet) $ (feet) 0 70 28 2 Average (linearfeet) 8 (feet) 0 10 14 1 Average (linearfeet) 4 (feet) 0 2 25 5 Average Qinearfeet) 0 (feet) 2 28 5 Average (linearfeet) 6 (feet) 3 26 7 Average (linearfeet) $ (feet) 3 32 9 Average Qinearfeet) 6 (feet) 3 10 3 Average (linearfeet) 0 (feet) 2 26 5 Average (linearfeet) 2 (feet) 2 70 2 Average (linearfeet) 0 (feet) 0 3i. Total permanent stream impacts: 155 3i. Total temporary stream impacts: 62 3i. Total stream and tributary impacts: 217 3j. Comments: E. Impact Justification and Mitigation _ 1. Avoidance and Minimization 1a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing the project:* The purpose of the proposed project is to extend a rail siding track along an existing rail line. As a result of this extension, several culverts will be extended. Roadway approach work is minimized as much as is practical to reduce the overall project 1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques:* Erosion and sedimentation BMPs will be installed prior to construction. Water will be diverted around the work area to prevent sedimentation of downstream aquatic resources. Impacts will be minimized by strict enforcement of Best Management Practices for the protection of surface waters, restrictions against the staging of equipment in or adjacent to waters of the US and coordination (including a pre-construction meeting) with the Division Environmental Supervisor. 2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State 2a. Does the project require Compensatory Mitigation for impacts to Waters of the U.S. or Waters of the State? C Yes l" No 2c. If yes, mitigation is required by (check all that apply): fJ DWR r7 Corps 2d. If yes, which mitigation option(s) will be used for this project? r Mitigation bank r% Payment to in-lieu fee program r Permittee Responsible Mitigation 4. Complete if Making a Payment to In-lieu Fee Program 4a. Approval letter from in-lieu fee program is attached. fJ Yes 4b. Stream mitigation requested: Qlnear feet) 310 4c. If using stream mitigation, what is the stream temperature: 4d. Buffer mitigation requested (DWR only): (square feet) 4e. Riparian wetland mitigation requested: (acres) 0.38 4f. Non-riparian wetland mitigation requested: (acres) 4g. Coastal (tidal) wetland mitigation requested: (acres) 4h. Comments 6. Buffer mitigation (State Regulated Riparian Buffer Rules) - required by DWR 6a. Will the project result in an impact within a protected riparian buffer that requires buffer mitigation? If yes, you must fill out this entire form - please contact DWR for more information. f Yes �' No F. Stormwater Management and Diffuse Flow Plan (required by DWR) _ _ _ _ _ *** Recent changes to the stormwater rules have required updates to this section .`** 1. Diffuse Flow Plan 1a. Does the project include or is it adjacent to protected riparian buffers identified within one of the NC Riparian Buffer Protection Rules? f Yes r No For a list of options to meet the diffuse flow requirements, click here. If no, explain why: The proposed extension of culverts results in minor increase in impervious surfaces, so treatment is not required. 2. Stormwater Management Plan 2a. Is this a NCDOT project subject to compliance with NCDOT's Individual NPDES permit NCS000250? * C•' Yes f No G. Supplementary Information 1. Environmental Documentation 1a. Does the project involve an expenditure of public (federal/state/local) funds or the use of public (federal/state) land?* f• Yes �' No 1b. If you answered "yes" to the above, does the project require preparation of an environmental document pursuant to the requirements of the National or State (North Carolina) Environmental PolicyAct (NEPAISEPA)?* f• Yes r No 1c. If you answered "yes" to the above, has the document review been finalized by the State Clearing House? (If so, attach a copy of the NEPAor SEPAfinal approval letter.)* C•' Yes C' No NEPA or SEPA Final Approval Letter C7ick the upload button or drag and drop files here to attach document P-5704_FINAL_SMC_03-20-2017signed_Alphagraphics.pdf 6.76MB RLE NFE MJST BE FDF 2. Violations (DWR Requirement) 2a. Is the site in violation of DWR Water Quality Certification Rules (15A NCAC 2H .0500), Isolated Wetland Rules (15A NCAC 2H .1300), or DWR Surface Water or Wetland Standards or Riparian Buffer Rules (15A NCAC 2B .0200)?* C' Yes C•' No 2b. Is this an after-the-fact permit application?* f Yes l•' No 3. Cumulative Impacts (DWR Requirement) 3a. Will this project (based on past and reasonably anticipated future impacts) result in additional development, which could impact nearby downstream water qualit�/?* C' Yes C•' No 3b. If you answered "no," provide a short narrative description. Per the NC DWQ April 10, 2004 Version 2.1 Cumulative Impacts policy, small scale public transportation projects — such as widening projects, bridge replacements and intersection improvements — have a"low potential for cumulative impact since little (if any) new impervious surface is added and the projects are usually in already developed locales." This proposed project is within a somewhat developed landscape (i.e. e�asting roadways, businesses, and residential homes in the vicinity), this is not a rail line on a new location (i.e. there is an e�tisting rail line road and bridge structure and thus, the area already contains impervious surfaces) and the project drains to South Fork Crooked Creek which is Class C(i.e. not ORW, HQW, NSW, or 303(d) listed waters). We anticipate the NC DWR will advise us if a qualitative or quantitative analysis is needed. 4. Sewage Disposal (DWR Requirement) 4a. Is sewage disposal required by DWR for this project?* f Yes r No �' f�/A 5. Endangered Species and Designated Critical Habitat (Corps Requirement) 5a. Will this project occur in or near an area with federally protected species or habitat? * f Yes �' No 5b. Have you checked with the USFWS concerning Endangered Species Act impacts?* G' Yes C' No 5c. If yes, indicate the USFWS Field Office you have contacted. Raleigh 5d. Is another Federal agency involved?* C' Yes C No 5e. Is this a DOT project located within Division's 1-8?* l" Yes C No 5f. Will you cut any trees in order to conduct the work in waters of the U.S.? C Yes C' No 5g. Does this project involve bridge maintenance or removal? f Yes r No C' Unknown Link to the NLEB SLOPES document: http://saw-reg.usace.army.mil/NLEB/1-30-17-signed_NLEB-SLOPES&apps.pdf 5h. Does this project involve the construction/installation of a wind turbine(s)?* f Yes f• No 5i. Does this project involve (1) blasting, and/or (2) other percussive activities that will be conducted by machines, such as jackhammers, mechanized pile drivers, etc.? G' Yes C' No If yes, please provide details to include type of percussive activity, purpose, duration, and specific location of this activity on the prope rty. Qick the upload button or drag and drop files here to attach docurcent P-5704 NWP 14 Percussive Activity .pdf Fle rrust be FDF 21.93KB 5j. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical Habitat? North Carolina Natural Heritage Database and onsite investigation 6. Essential Fish Habitat (Corps Requirement) 6a. Will this project occur in or near an area designated as an Essential Fish Habitat?* l' Yes C•' No 6b. What data sources did you use to determine whether your site would impact an Essential Fish Habitat? * This railroad project takes place in Union County wfiich is not near any coastal or tidal habitat that would support EFH (i.e. salt marshes, oyster reefs, etc.). 7. Historic or Prehistoric Cultural Resources (Corps Requirement) Link to the State Historic Preservation Office Historic Properties Map (does not include archaeological data: http://gis.ncdcr.gov/hpoweb/ 7a. Will this project occur in or near an area that the state, federal or tribal governments have designated as having historic or cultural preservation status (e.g., National Historic Trust designation or properties significant in North Carolina history and archaeology)?* C' Yes C•' No 7b. What data sources did you use to determine whether your site would impact historic or archeological resources?'� See State Minimum Criteria Checklist. Historical architecture and archaeological resources were determined to not be affected by this project. 7c. Historic or Prehistoric Information Upload C7ick the upload button or drag and drop files here to attach docurrent ER 16-0210.pdf 105.94KB Stouts Siding Initiation&APE_2.01.16_SIGNED.pdf 1.73MB Stouts-Siding_NC_AH-Survey_Update_3-28-2016.pdf 3.15MB Fle rrust be FDF 8. Flood Zone Designation (Corps Requirement) Link to the FEMA Floodplain Maps: https://msc.fema.gov/portal/search 8a. Will this project occur in a FEMA-designated 100-year floodplain?* C•' Yes C' No 8b. If yes, explain how project meets FEMArequirements: See State Minimum Criteria Checklist and Project Commitments. 8c. What source(s) did you use to make the floodplain determination?* See State Minimum Criteria Checklist and Project Commitments. Miscellaneous Miscellaneous attachments not previously requested. C7ick the upload button or drag and drop files here to attach docurrem Fle rrust be FDF or IWQ Signature fJ By checking the box and signing below, I certify that: • I have given true, accurate, and complete information on this form; ■ I agree that submission of this PCN form is a"transaction" subject to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions AcY'); ■ I agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes (the "Uniform Electronic Transactions AcY'); ■ I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature; AND ■ I intend to electronically sign and submit the PCN form. Full Name:* James F. Bridges Jr. Signature F �f�1rrJ lJ� ti'i�'trY��J f���. Initial Review Is this project a public transportation project?* (�) C•' Yes f No Change only 'rf needed. Has this project met the requirements for acceptance in to the review process? * C•' Yes C' No BIMS # Assigned * 20171250 Version#* 2 Reviewing Office * Mooresville Regional Office - (704) 663-1699 Select Project Reviewer* Donna Hood:eads\drhood Is a payment required for this project?* f No payment required f Fee received f• Fee needed - send electronic notification What amout is owed? * C' $240.00 G' $570.00